Active NPI 1114559390 Individual Practitioner Female Practitioner

Kacey Retterath , LPN

Licensed Practical Nurse • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Kacey Retterath, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Maple Grove, MN. Practice services are available at 10467 93RD AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10467 93rd Ave N

Maple Grove, MN 553694112

Telephone 6514884655

Fax 6514884656

Associated Practice Facility / Clinic

🏢 Regency Home Healthcare Services Llc Facility NPI 1144260589

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Maple Grove, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Maple Grove, MN (881 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-06

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN 817248

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners

Krista Benoit , RN

Registered Nurse

NPI 1013623875

Registered Nurse

Jeremiah Solveson , RN

Registered Nurse

NPI 1134012008

Registered Nurse

Bonnie Goff , RN

Registered Nurse

NPI 1134835853

Registered Nurse

Courtney Schneider

Registered Nurse

NPI 1144651662

Aaron Reichard , RN

Registered Nurse

NPI 1174456545

Registered Nurse

Mark Michael , RN

Registered Nurse - Home Health

NPI 1225660400

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 06, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2020

Registered at 10467 93RD AVE N, MAPLE GROVE, MN 553694112 (Tel: 6514884655)

📍

Updated Business Mailing Address February 06, 2020

Registered at 10467 93RD AVE N, MAPLE GROVE, MN 553694112 (Tel: 6514884655)

👤

Provider Name / Credentials Updated February 06, 2020

Recorded as KACEY RETTERATH, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2020

Licensed Practical Nurse (License #817248 in MN)

🟢

Initial NPI Registration & Enumeration February 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1114559390

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 06, 2020

Last Update: February 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10467 93rd Ave N

Maple Grove, MN 553694112

Phone: 6514884655

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.